Individual provider Active NPI

Delwyn Sargeant, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1285606913
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD051530L Issued in PA
Practice address
5753 Wayne Ave
Philadelphia, PA 19144
Phone
(215) 848-8800
Fax
(215) 848-6036
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD051530L PA Primary

Addresses

Primary practice location

5753 Wayne Ave
Philadelphia, PA 19144

Mailing address

37 S 40TH St
Philadelphia, PA 19104-3042

Other identifiers 1

IdentifierTypeStateIssuer
0015086640003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040119000111 PA Practitioner - Internal Medicine 3971404336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone (312) 600-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051530LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahpaffs,LLC CurrentSince Jun 4, 2021 Accepting new patients

Locations

601 Taylor St
Nashville, TN 37208
Phone (615) 556-5908

Interoperability endpoints

  • Direct secure messaging: delwyn.sargeant@oakstreethealth.gwaydirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1285606913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 S 40TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5753 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "215-848-8800",
            "fax_number": "215-848-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGEANT",
        "first_name": "DELWYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD051530L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015086640003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.